HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
NOV
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Permit N
Building Permit Application
Commercial Residential xxx
PERMIT TYPE: 48" high aluminum pool barrier fence
PROPOSED IMPROVEMENT LOCATION:
.. tr27n9 Marh One nr. Port St Lucie FI 149R7
nume�r
Property Tax ID p: 3215-801-0020-000-4 Lot No. 13
Site Plan Name: Area Acres sec/Town//Range 15/36S/38E Block No. 1
Project Name:
DETAILED DESCRIPTION OF WORK:
Installing a 48" high aluminum fence surrounding pool, one
ate that will open away from pool be self closing self
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters -Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ $2400.00 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR: Owner Builder
Name Andrew & Evangeline Bruhn
Name:
Address: 18705 Mach One dr
Company:
City: Port St Lucie State: FI
Zip Code: 34987 Fax:
Phone No. 772-260-1039
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mall: abruhn@martin.fl.us
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
If value of construction is $2500 or more, a RECORDED Notice of commencement is regwrea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: , Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROYEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLO I A' s
STATE OF FLORIDA
, ,^ .
COUNTY OF to l�(�
COUNTY OF
The for oing instr} mpnt was acknowledged before me
The forgoing instrument was acknowledged before me
this day of f-J(YI,ft , 20217 by
this _ day of 20_ by
Name of person making statement.
Name of person making statement.
Personally Known Y OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur f Notary Public
t@t orida ) KELLYALOUNDS
It
(
nature of Notary Public -State of Florida )
�'fiSA l
.; WCOMMISSION#GG31
Commission No. �"�l
5• P
C
mission No. (Seal)
l,((SSeJ�IRE3:Ju^ne,2�-0.2023
•yNOGiIOP BondedThN Notary PubkUas
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19